How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $57.54 | $57.54 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $26.92 | $41.69 | $54.95 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $63.10 Typical High $102.33 | Professional | 50 · Both sides | $39.81 | $63.10 | $102.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.49 Median $20.89 Typical High $33.88 | Professional | 51 · Multiple procedures | $13.49 | $20.89 | $33.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $8.32 Typical High $13.49 | Professional | 80 · Assistant surgeon | $5.37 | $8.32 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.72 Median $5.89 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $3.72 | $5.89 | $9.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.72 Median $5.89 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $3.72 | $5.89 | $9.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $5.89 Typical High $9.55 | Professional | AS · PA/NP assist | $3.72 | $5.89 | $9.55 |
United Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $38.90 | Facility | None | $30.20 | $36.31 | $38.90 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $12.88 | $22.39 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | SH · Second concurrent infusion | $20.89 | $20.89 | $20.89 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | SJ · Third+ concurrent infusion | $20.89 | $20.89 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $19.05 | $33.11 |
Where North Carolina sits
The same service costs 9.5 times more in Illinois than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 23rd of 48
$41.69
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.